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1841924743
ENIOLA R OMISAKIN
UNION, NJ
NPI
1841924743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NJ 26NJ01324700)
Enumeration Date
2022-07-15
Last Update Date
2022-07-15
Business Address
ENIOLA R OMISAKIN
1070 CRANBROOK RD
UNION, NJ 07083-6329
Phone number: 908-499-1634
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Mailing Address
ENIOLA R OMISAKIN
1070 CRANBROOK RD
UNION, NJ 07083-6329
Phone number: 908-499-1634
Copy
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